Active NPI
Ryan Elizabeth Sensecqua, D.O.
- Surgery Physician
- Kailua Kona, HI
National Provider Identifier
1922349679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DOS-2125
- Practice address
- 78-6831 Alii Dr
Kailua Kona, HI 96740-2495 - Phone
- (808) 747-8321
- NPI assigned
- Mar 5, 2013
- Last updated
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Surgery Physician | 208600000X | DOS-2125 | HI | Primary |
Addresses
Primary practice location
78-6831 Alii Dr
Kailua Kona, HI 96740-2495
Mailing address
77-6431 Kilohana St Unit Main
Kailua Kona, HI 96740-7900
Phone (239) 823-1004
Other practice location 1
6001 W Outer Dr
Detroit, MI 48235-2614
Phone (313) 966-1941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alii Health Center | Past | Accepting new patients |
Interoperability endpoints
- rsensecqua436995@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1922349679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77-6431 KILOHANA ST UNIT MAIN",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967407900",
"telephone_number": "239-823-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78-6831 ALII DR",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402495",
"telephone_number": "808-747-8321"
}
],
"practiceLocations": [
{
"address_1": "6001 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352614",
"country_code": "US",
"telephone_number": "313-966-1941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SENSECQUA",
"first_name": "RYAN",
"middle_name": "ELIZABETH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2021-03-31",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "DOS-2125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.